Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Paul Bryan Beachem IV, ATC

Individual provider Athletic Trainer · NPI 1043670011

Mr. Paul Bryan Beachem IV, ATC is an Athletic Trainer in Logan, Utah. Licensed in Pennsylvania and Utah. Registered with an NPI since 2016.

Licensed in
PA, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7400 Old Main Hill Dale Mildenberger Sports Medicine Complex
Logan, UT 84322
Phone: (435) 797-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 9067793-4810 (UT)
Athletic Trainer Taxonomy 2255A2300X · Licence RTO000189 (PA)

Record details

NPI number1043670011
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESMarch 3, 2016

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